Principles and Techniques of Trauma Care

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MANAGEMENT GOALS Primary survey • Examine, diagnose, treat life-threatening injuries as soon as they are diagnosed • Use simplest treatment possible to stabilize patient’s condition Secondary survey • Perform complete, thorough patient examination to ensure no other injuries are missed 8 | Emergency and Essential Surgical Care (EESC) programme www.who.int/surgery
TRAUMA CARE MANAGEMENT Phase I Phase II Triage Primary Survey Resuscitation Phase III Secondary Survey • Start resuscitation at the same time as performing primary survey • Do not start secondary survey until completing primary survey • Constantly reassess patient for response to treatment; if condition deteriorates, reassess ABC 9 | Emergency and Essential Surgical Care (EESC) programme www.who.int/surgery
Page 1 and 2: EMERGENCY & TRAUMA CARE TRAINING CO
Page 3 and 4: Additional links to WHO Resources:
Page 5 and 6: MODULE 1 Principles and Techniques
Page 7: SIX PHASES OF TRAUMA CARE MANAGEMEN
Page 11 and 12: MAJOR TRAUMA Trauma mechanism: •
Page 13 and 14: PHASE I: TRIAGE Triage: sorting and
Page 15 and 16: AIRWAY Always assess the airway •
Page 17 and 18: TECHNIQUES FOR OPENING THE AIRWAY M
Page 19 and 20: AIRWAY Before attempting intubation
Page 21 and 22: INDICATIONS FOR CHEST DECOMPRESSION
Page 23 and 24: TENSION PNEUMOTHORAX • Air from l
Page 25 and 26: INSERTION OF CHEST DRAIN NAV A B C
Page 27 and 28: CIRCULATION: HAEMORRAGHIC SHOCK Ass
Page 29 and 30: CIRCULATION Obtain two large bore I
Page 31 and 32: DISABILITY or DAMAGE Checking for n
Page 33 and 34: GLASGOW COMA SCORE Eyes +Verbal + M
Page 35 and 36: EXPOSURE • Remove all patient's c
Page 37 and 38: PHASE III: SECONDARY SURVEY Head Ex
Page 39 and 40: REASSESSMENT • Always perform an
Page 41 and 42: Patient Referral and Transport 41 |
Page 43 and 44: DECISION MAKING Can we do procedure
Page 45 and 46: TRANSFER OF TRAUMA PATIENT Planning
Page 47 and 48: PATIENT SAFETY: Consent With invasi
Page 49 and 50: RECORD KEEPING Admission note/preop
Page 51 and 52: RECORD KEEPING Progress note - Need
Page 53 and 54: OXYGEN SUPPLEMENTATION • Reliable
Page 55 and 56: OXYGEN SUPPLEMENTATION • Start ox
Page 57 and 58: INTRAVENOUS ACCESS: Central veins F
Page 59 and 60:
FLUIDS AND MEDICINES • Avoid flui
Page 61 and 62:
SURGICAL CRICOTHYROIDOTOMY 4 • Ro
Page 63 and 64:
Trauma in Children 63 | Emergency a
Page 65 and 66:
TRAUMA IN CHILDREN Airway Breathing
Page 67 and 68:
MANAGING THE AIRWAY IN A CHILD WITH
Page 69 and 70:
LOGROLL IN SUSPECTED NECK TRAUMA
Page 71 and 72:
OROPHARYNGEAL AIRWAYS • Can impro
Page 73 and 74:
HOW TO GIVE OXYGEN 73 | Emergency a
Page 75 and 76:
INTRAVENOUS ACCESS IN CHILDREN •S
Page 77 and 78:
TRAUMA IN CHILDREN • Most sensiti
Page 79 and 80:
TRAUMA IN CHILDREN • Malnutrition
Page 81:
TRAUMA IN THE ELDERLY • Injury ri
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Principles and Techniques of Trauma Care

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